| Miramar Health Center | |
|
1608 N Road 44 Pasco WA 99301-2667 | |
| (509) 543-9280 | |
| Not Available |
| Full Name | Miramar Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1608 N Road 44, Pasco, Washington |
| Authorized Official Name and Position | Shannon Fernandez (BILLING VP) |
| Authorized Official Contact | 5098656175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miramar Health Center Po Box 190 Toppenish WA 98948-0190 Ph: (509) 543-9280 | Miramar Health Center 1608 N Road 44 Pasco WA 99301-2667 Ph: (509) 543-9280 |
| NPI Number | 1235265455 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 11/01/2022 |
| Medicare PECOS PAC ID | 4385541986 |
|---|---|
| Medicare Enrollment ID | O20101004000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235265455 | NPI | - | NPPES |
| 204171 | Other | WA | LABOR AND INDUSTRIES |
| 7133291 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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